Clinical History -- Hemoptysis and Fever

FURTHER HISTORY:

The patient underwent matched unrelated bone marrow transplantation for CML eight months prior to admission.
She had reported prior episodes of graft-versus-host disease (GVHD).
Two days prior to admission, she developed a gradually worsening cough, associated with nausea. One day prior to admission
, the cough became continuous, keeping her from sleeping. She likewise developed a frontal headache. On the morning
of admission, she reported blood streaked sputum and a fever of approximately 100 degrees Fahrenheit.